Top
40
Doctor insights on: Scaphoid Fracture Of The Wrist Treatment In Ayurveda

Share
1

1
I fell and now the thumb side of my wrist hurts. Could it be a scaphoid fracture?

I fell and now the thumb side of my wrist hurts. Could it be a scaphoid fracture?

X ray to diagnose: Pain on the radial side of the wrist can be a sign of a scaphoid fracture.

Often active patients suffer a "bad wrist sprain" ignore it and then show up years later with a painful wrist due to an scaphoid fracture which was not diagnosed.

An x ray with a dedicated view of the scaphoid can help make the diagnosis, although within the first 2 weeks a of a fracture the x-rays can miss a fracture. ...Read more

Dr. Corey Clay
792 Doctors shared insights

Fracture (Definition)

A fracture is a broken bone. As there is cartilage at the end of many bones at the joint, a fracture may also include a break in the cartilage. Fractures and broken bones are the same thing. It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. Fractures may be displaced or ...Read more


3

3
What is the average healing time for a scaphoid fracture in the wrist?

What is the average healing time for a scaphoid fracture in the wrist?

Variable: 1/2 of fractures of the proximal pole are healed by 5 mo, middle fractures by 12 weeks and distal (end) by 6 wks. Failure to heal relates to instability of the fracture and whether or not the blood supply has been cut off. X-rays often do not show well the exact pattern nor stability. Ct scans are helpful in evaluating for plan of treatment. ...Read more

4

4
I fell while I was ice skating. My wrist is achy and swollen. Could it be a scaphoid fracture?

I fell while I was ice skating. My wrist is achy and swollen. Could it be a scaphoid fracture?

Yes: If the wrist is swollen and bruised, I would be concerned for a wrist injury. Radiographs or x-rays would be beneficial to rule out a fracture. ...Read more

6

6
What is the treatment for scaphoid fracture?

What is the treatment for scaphoid fracture?

Surgery Recommended: Reasons for surgery: 1. Scaphoid non-unions. 2. Lifestyle.
Non-unions are rare but unpredictable. Any scaphoid fracture can fail to heal. That ruins any activity requiring full grip or range of motion for the rest of your life.
8 to 12 weeks of casting can cost one a job, athletic fitness, etc. Virtually all surgeons have surgery so they can keep working. Use your values to decide what to do. ...Read more

7

7
Proximal Pole Scaphoid Fracture in my left wrist. Previously had one a year back and was told it has healed. What do I do?

Proximal Pole Scaphoid Fracture in my left wrist. Previously had one a year back and was told it has healed. What do I do?

More tests: It would be important to know if your original fracture just never healed or if it is a new fracture as they would be treated differently. A C T scan would usually be able to differentiate between the two. ...Read more

9

9
How long should I expect to be out of work? I went to the ER sun and was told that both my wrists are broken 1 with radical styloid fractured potentially scaphoid fracture, the otherdistal radius fracture. I work in customer service field on the computer

For: For either one of these injuries alone, you could be expected to do computer work within a week or so, though a bit slower than your usual pace. However, with both wrists broken, it becomes much more difficult. Basic hygeine and eating can be difficult if both wrists are in casts.

A radial styloid fracture, in and of itself, is not usually problematic and heals in about 6 weeks. However, it can be a marker for a more severe injury to the scapolunate ligament--part of the cornerstone of the wrist. You need to see a hand surgeon to determine if there is significant ligament instability. Sometimes the portion of the fracture that goes through the joint shifts and needs to be fixed surgically. Either of these situation would prolong the healing time. If there is indeed a scaphoid fracture, that wrist could be limited much longer, sometimes up to a year.

The distal radius fracture depends on the fracture pattern. Most of these do not involve the joint, but can tip backwards and distort wrist mechanics. If it displaces, it may require surgery. Unfortunately, these can move at 2-3 weeks after injury.

In short, your recovery time depends on the "personality" of the fractures and any associated injuries. If all goes especially well, you might be out of casts by 6 weeks, but there are a lot of other factors. ...Read more

10

10
I'm still in quiet sever pain in the radial side of my wrist and it's been a few months since my scaphoid fracture. Do you know what could be going on?

Scaphoid fractures: This commonly fractured bone in the wrist can sometimes be either slow to heal or non healing. This has to do with the fact that the blood supply is many times disrupted in the injury. Therefore this type of fracture requires evaluation and moinitering by an Orthopaedic surgeon until it heals. The fact u r having severe pain is of concern. Get an evaluation ...Read more

11

11
Are there any good treatment options for a scaphoid fracture that has been untreated for 15 years?

OLD scaphoid fx: Such that there is a NON union or a malunion can be associated with arthritis, cartialge wear, "collapse" of the normal arrangment of the wrist bones and all that must be considered when evaluating treatment options. There are many good options, from resecting a portion of bone or bones or partially fusing part of the wrist, to even just treating the symptoms. It isindividual process but can b OK ...Read more

13

13
Is it alright to play sports like volleyball and baseball with a nail left inside my wrist? (scaphoid fracture)my doctor says it need not be taken out.

Is it alright to play sports like volleyball and baseball with a nail left inside my wrist? (scaphoid fracture)my doctor says it need not be taken out.

Scaphoid fractures: Can be treated with a screw that is commonly "buried' in the bone so that after it is healed and the OK is officially given (that is VERY IMPORTANT) one can use the wrsit and the hand normally. These screws are generally not taken out though sometimes screws can shift and fractures can settle a little but that is the exception. ANY SCAPHOID FRACTURE MUST BE OK'd by treatingDOC to resume activity ...Read more

14

14
Iliac crest bone graft from hip for treatment for nonunion scaphoid how big is the cut? Will they take much bone graft? Hello there I have nonunion scaphoid for nearly two years now im having open reducion and internal fixation of the scaphoid fracture w

Iliac crest bone graft from hip for treatment for nonunion scaphoid how big is the cut? Will they take much bone graft? Hello there I have nonunion scaphoid for nearly two years now im having open reducion and internal fixation of the scaphoid fracture w

These: These are very specific questions, good questions but the best answer comes form the surgeon who is going to operate on you.
Typically "small cut" (whatever that means may be different for different cases, and going home typically depends upon how you feel, genral health, length of surgery etc....Talk to your doctor
pick up the phone and call the office of where your surgery is being done. ...Read more

15

15
How do you treat a hand scaphoid fracture?

How do you treat a hand scaphoid fracture?

Cast or surgery: Most of the time the fracture heal by applying a cast for 6-8 weeks, if the fracture displaced or in certain location (we know those will heal by casting) is better to go right away to surgery and bone graft. ...Read more

16

16
Do I have to undergo surgery if I have scaphoid fracture non union in my hand? The fracture is already two years due.

Do I have to undergo surgery if I have scaphoid fracture non union in my hand? The fracture is already two years due.

Scaphoid fracture: That is non unitted and old needs surgery to fix the fracture, it will not unite or heal by itiself, by casting or by other methods. However if the question is must someone have surgery. Well no, no one can say you must, but certainly most will very strongly recommend a younger person with a scaphoid non union to get it cared for with surgery to prevent later problems. ...Read more

18

18
Question about diagnosis/misdiagnosis of scaphoid fracture. Several months ago a box fell on my hand near the base of my thumb, I was concerned that something may have been broken or fractured, but I had MRI which should bones were intact. How likely tha

Question about diagnosis/misdiagnosis of scaphoid fracture. Several months ago a box fell on my hand near the base of my thumb, I was concerned that something may have been broken or fractured, but I had MRI which should bones were intact. How likely tha

This: This has nothing to do with training, experience or expertise. Some fractures just don't show up despite proper good standard assessment, but the percentages are small. The radiologist who read the study as negative also is trained to do so. To get an idea of the complexity of this question see the links below

an MRI that is read as negative for scaphoid fracture rules out a fracture most of the time.
There can be false negatives and false positives. A MRI will detect variations in the bones trabecular pattern (inside the bone) often associated with negative x-rays. If anything inexperience in reading MRI can lead to over diagnosing a fracture by mri.

Other tests include a ct scan, which is better for cortical (outside) disruption and a bone scan which is less specific


a contused or bruised joint near the base of the thumb especially if there is even a touch of mild arthritis can often take time to feel better

a good way to assess persistent pain several months after injury is to be reevaluated and get new plain x-rays including scaphoid views and be assessed for things other than a scaphoid fracture that can still give wrist pain. ...Read more

19

19
Fell onto my hand yesterday, thumb slightly swollen, aches and is tender. Restricted movement. Cant hold anything heavy. Could it be scaphoid fracture?

Fell onto my hand yesterday, thumb slightly swollen, aches and is tender. Restricted movement. Cant hold anything heavy. Could it be scaphoid fracture?

Yes or a different: Injury such as a metacarpal or pjs legal or joint injury. It can also be a bruise or another type of wrist fracture. So if pain and swelling persist appropriate evaluation and x-rays are needed. ...Read more

20

20
If I have a scaphoid fracture that has gone untreated for more than 6 months, will that show up on an x-ray? I had an injury on my hand last summer, initial X-ray and MRI showed nothing other than sprained scapholunate ligament with post-traumatic synovit

If I have a scaphoid fracture that has gone untreated for more than 6 months, will that show up on an x-ray? I had an injury on my hand last summer, initial X-ray and MRI showed nothing other than sprained scapholunate ligament with post-traumatic synovit

Scaphoid fracture: If you had a scaphoid fracture which was initially not diagnosed and it has not healed (a scaphoid nonunion), this will show up on regular x-rays 6 months after the injury. Possible causes of continued pain after a wrist injury without a fracture can be an unhealed ligament sprain or tear, a joint capsule sprain or cartilage injury. A clinical examination and perhaps an MRI can help diagnose. ...Read more

21

21
Is there any non-surgical methods to manage a scaphoid fracture that hasn't healed properly - Herbert screw inserted 15years ago but bone didn't heal?

Is there any non-surgical methods to manage a scaphoid fracture that hasn't healed properly - Herbert screw inserted 15years ago but bone didn't heal?

Not uncommon: For non union (. not healing properly.) as the broken part of the bone lost the blood supply (was cut off), see your hand surgeon may need surgical procedure to help you. ...Read more

22

22
Can you swim with a scaphoid fracture?

Can you swim with a scaphoid fracture?

Scaphoid: The scaphoid or navicular sits below the trapezium and distal to the radius on the thumb side of the carpus or wrist. It spans the proximal and distal carpal row and flexes and extends depending on wrist position subjecting it to a lot of motion. When fractured the los supply can be an issue and the rate of non union is higher than for similar wrist bones. A scaphoid fracture needs a specialist. ...Read more

23

23
Will scaphoid fracture stop me from going on my vacation?

Not necessarily: A scaphoid fracture is usually benign and just takes time to heal while not typically causing a lot of dysfunction. As long as you won't be participating in any extreme sports you should be able to enjoy your vacation without a problem. ...Read more

24

24
I think I may have a scaphoid fracture, but I'm not sure. How can I tell what is wrong?

Can't tell: It is very unlikely that a person can tell if a bone is broken. It is also unlikely a doctor can tell just by examining you. Even an xray will occasionally not see a hairline fracture. Pain is a very unreliable criteria. Moving whatever part of your body is hurt is also a very poor criteria. Bone sticking through skin is obvious. Otherwise an xray is needed if there is concern. ...Read more

25

25
Can I take any pain medicine for a scaphoid fracture?

Can I take any pain medicine for a scaphoid fracture?

It depends: Any fracture may be painful so pain relieving options are always reasonable. What you can/should take for pain relief depends on what is OK for your body. You don't provide much medical background, but for example, people with liver issues often can only take minimal amounts of acetaminophen. Talk with your doctor about what options would be best for you. ...Read more

27

27
Scaphoid fracture healing time. When to re-xray it to see if it healed correctly?

Scaphoid fracture healing time. When to re-xray it to see if it healed correctly?

Months: The scaphoid is a very slow bone to heal. Depending on your age and displacement of fracture, it may take months before the fracture appears healed on an xray. It is important to follow the fracture to make sure it heals, as the scaphoid may go on to nonunion (not heal), or avascular necrosis (loss of blood supply with eventual collapse). ...Read more

28

28
In thumb spica splint for suspected scaphoid fracture. Pain in entire thumb area while in splint normal?

Yes and no: If the thumb is swollen then the cast may become too tight, yes, if there is no swelling have the cast rechecked, it may need to be redone.
In the meantime elevate your hand above your heart for 15-20 minutes to see if that reduces the pain/swelling and call your dr. ...Read more

29

29
Mri, xray (fall) negative scaphoid fracture. Still severe pain. No diagnoses. Could surgery help with diagnoses?

No surgery: Without a diagnosis. Contusion. Bruise tendon irritation. Irritated arthritic joint. Cmc arthritis. Dequervains all can cause pain in thumb side of wrist ...Read more

30

30
What can I expect at scaphoid fracture follow up appt?

Exan, xray`: Typically you will be examined regarding your
cast and finger motion and sensation.
You will likely undergo an xray to evaluate
the fracture positon and healing of the injury.
You will need to be monitored regarding pain
motion and return to activities. ...Read more

31

31
What is the definition or description of: scaphoid fracture?

Scaphoid fracture: The scaphoid is a small bone on the thumb side of the wrist that is at risk of fracture from a fall on an outstreched arm. It is a problematic fracture since poor circulation may lead to nonunion. ...Read more

33

33
What is healing time for scaphoid fracture?

What is healing time for scaphoid fracture?

8 t0 12 weeksA: Depend upon location and quality of the fx. Usually is between 8 to 12 weeks for uncomplicated fx. Assuming you are referring to the wrist. ...Read more

34

34
What are the long-term effects of a scaphoid fracture?

Possibly none.: For scaphoid fractures that heal, either through immobilization or surgery, minimal long term effects are noted. However, scaphoid fractures that do not heal may lead to arthritic changes in the wrist. These changes eventually cause wrist stiffness and pain. Arthritis can often be tolerated with braces and medications, but occasionally corticosteroid injections or even surgery is necessary. ...Read more

35

35
What do doctors do to confirm/deny if they suspect a scaphoid fracture?

Variable: Fastest way is a mri. Otherwise we treat it as a fracture and re xr in 2 weeks and re evaluate to confirm. Fractures may not show up for 2 week on xr. ...Read more

36

36
Will pot prevent my scaphoid fracture from healing?

Will pot prevent my scaphoid fracture from healing?

No: Marijuana smoke, unlike tobacco smoke, does not appear to have major effects on healing, especially healing of bone. However, this may depend on how much you smoke. Most cigarette smokers are consuming 20+ cigarettes per day, while marijuana smoker may smoke the equivalent of 3-4 cigarettes per day. If you smoke cigarettes, that will have more effect on healing than marijuana. ...Read more

37

37
How long will I be in a cast for a scaphoid fracture?

8 t0 12 weeksA: Depend upon location and quality of the fx. Usually is between 8 to 12 weeks for uncomplicated fx. Assuming you are referring to the wrist. ...Read more

40

40
Can I request a cast for a suspected scaphoid fracture even if it doesn't show on xrays?

Splint not Cast: Most physicians would likely apply a splint rather than a cast for a suspected fracture. Repeat xrays would likely be obtained a week later to confirm or exclude the possibility of fracture. ...Read more

Dr. Jeffrey Wint
2,317 Doctors shared insights

Broken Bone (Definition)

Is it broken or fractured is a question I am often asked. The answer is basically that a broken or fractured bone is the same thing. A fracture means a break in the cortex or the strong layer of outer bone cells. In an adult the average time for that to heal varies greatly but is often considered to ...Read more


Dr. Suzanne Gilberg-Lenz
160 Doctors shared insights

Ayurveda (Definition)

Ayurveda programs follow the ancient Hindu science of medicine, and offer a holistic approach to health with the goal to help people live long, healthy, and well-balanced lives. The programs focus on the three basic energy types (doshas) found in every person, and work ...Read more